contractors safety information sheet presented by: matt hodge, kbr houston business roundtable 2011...
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![Page 1: Contractors Safety Information Sheet Presented by: Matt Hodge, KBR Houston Business Roundtable 2011 Safety Excellence Award Training](https://reader038.vdocuments.site/reader038/viewer/2022103123/56649d565503460f94a34501/html5/thumbnails/1.jpg)
Contractors Safety Information Sheet
Presented by: Matt Hodge, KBR
Houston Business Roundtable2011 Safety Excellence Award Training
![Page 2: Contractors Safety Information Sheet Presented by: Matt Hodge, KBR Houston Business Roundtable 2011 Safety Excellence Award Training](https://reader038.vdocuments.site/reader038/viewer/2022103123/56649d565503460f94a34501/html5/thumbnails/2.jpg)
Houston Business Roundtable2011 Safety Excellence Award Training
Six Sections Nominated By
Name of Firm
Type of Business
Company Description
OSHA Information
Contact Information
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Nominated by: ABC Chemicals
*Note: If your firm has received several nominations, copy this form and complete one for each project site
Fill out one form for each project site you have been nominated for.
Section 1: Nominated By
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Name of your firm exactly as you wish it published on any brochures, plaques, etc.:
Contact Name: Title:
Address City/State/Zip
Phone: Fax: e-mail:
Name of company as you would like to see it on awards.
Contact name needs to be someone that can answer questions.
Section 2: Name of Firm
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Check the category for which you want to be considered.
Section 3: Type of Business
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Company Description (Type of work/service your company does)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Need a good description of work/service your company performs.
Section 4: Company Description
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Data needed for both:
• Nominated worksite.
• Total company (All work in the US)
Section 5: OSHA Information
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Contact name needs to be someone that can answer questions.
Make certain contact information is correct.
Section 6: Contact Information
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Safety Awards Initial Evaluation Form
Houston Business Roundtable2011 Safety Excellence Award Training
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Houston Business Roundtable2010 Safety Excellence Award Training
Consist of a four page document
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Safety Awards Initial Evaluation Form
Six Sections General Information Safety, Health & Environmental Performance Safety, Health & Environmental Management Safety, Health & Environmental
Programs/Procedures Safety, Health & Environmental Training Information Submittal
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Section 1: General Information
GENERAL INFORMATION
1.Company Name: Telephone: Fax:
Street Address: Mailing Address:
Web site:
Contact Person: e-mail:
Telephone: Fax:
2. Parent Company Name:
Once again double check contact information.
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Section 2: Safety, Health & Environmental Performance
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Section 2: Safety, Health & Environmental Performance
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Section 2: Safety, Health & Environmental Performance
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Section 3: Safety, Health & Environmental Management
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 4: Safety, Health & Environmental Programs/Procedures
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Section 5: Safety, Health & Environmental Training
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Section 6: Information Submittal
Provide copies of checked items applicable to your company’s work.
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Section 5: Information Submittal
• Need name and title of Company Officer responsible for accuracy of this document.
• Don’t forget to include your company’s actual Best Practice
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Overview
Fill out Contractor Information Sheet for each project site that nominated you.
Complete the Safety Awards Initial Form.Need copies of checked items applicable to
your company’s work either:• Electronic Copies (Disk)• Hard Copies• NO EMAILS OR FAXES!
(Will not be accepted)
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Overview Continued
If submitting a disk make sure:• Content is organized.• Can open all material with a common
program.• Need hard copies of Information Sheet and
Initial Evaluation Form with the disk.
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Overview Continued
Please submit all Information by:• Hand delivering or,• Mailing to:
• Houston Business Roundtable 8031 Airport Blvd. Suite 118 Houston Texas, 77061
By: 4:00 PM Monday, January 31, 2011
NO EXCEPTIONS!
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Houston Business Roundtable2011 Safety Excellence Award Training